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General NPI Number Information
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NPI Number | 1407087711
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Entity Type | Individual
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Provider Name | GEORGE GUIRGUIS DO, FACOG
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Gender | Male
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 174 LILY POND AVE FL 2
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City | STATEN ISLAND
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State | NY
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Zip | 10305-4608
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Country | US
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Telephone | 833-732-1131
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Fax |
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Provider Business Mailing Address
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Address Line | 174 LILY POND AVE FL 2
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City | STATEN ISLAND
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State | NY
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Zip | 10305-4608
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Country | US
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Telephone | 929-754-1667
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Fax | 201-608-0497
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 284409
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 02006092B
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License Number State | IN
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